Healthcare Provider Details

I. General information

NPI: 1578844247
Provider Name (Legal Business Name): SHERRI LYNN SWINEHART MA, LPC, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERRI LYNN FICK

II. Dates (important events)

Enumeration Date: 09/07/2011
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 W CENTRE AVE
PORTAGE MI
49024-5309
US

IV. Provider business mailing address

721 W CENTRE AVE
PORTAGE MI
49024-5309
US

V. Phone/Fax

Practice location:
  • Phone: 269-779-7577
  • Fax: 269-888-2006
Mailing address:
  • Phone: 269-779-7577
  • Fax: 269-888-2006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401010135
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401010135
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801098756
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number6401010135
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401010135
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: